Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $840.42 / $2,511.17	Facility		$262.22	$840.42	$2,511.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $290.18 / $297.18	Professional		$190.54	$290.18	$297.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.72 / $699.24 / $1,740.76	Facility		$374.72	$699.24	$1,740.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $874.05 / $1,475.39	Professional		$279.68	$874.05	$1,475.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $622.32 / $1,922.91 / $4,307.32	Facility		$622.32	$1,922.91	$4,307.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $234.07 / $721.47	Professional		$159.08	$234.07	$721.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $419.54 / $559.39	Professional		$349.62	$419.54	$559.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $402.06 / $762.17	Professional		$314.66	$402.06	$762.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $608.34 / $1,660.70 / $1,660.70	Facility		$608.34	$1,660.70	$1,660.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.10 / $1,748.10 / $2,622.15	Professional		$1,748.10	$1,748.10	$2,622.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.18 / $419.54 / $559.39	Facility		$297.18	$419.54	$559.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $384.58 / $524.42	Professional		$349.62	$384.58	$524.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $349.62 / $349.62	Professional		$349.62	$349.62	$349.62
United Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $349.62 / $349.62	Facility		$146.84	$349.62	$349.62
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $899.57	Professional		$146.84	$146.84	$899.57